子宫输卵管造影双腔球囊导管对诊断的影响  

The Effect of Balloon Catheter on Diagnosis in Hysterosalpingography

作　　者：李永奎[1] 于永吉[2] 沈乃澎[1] 崔红学[1] 张仕状[1] 

机构地区：[1]潍坊医学院附属医院影像中心,261031 [2]潍坊医学院附属医院重症监护科,261031

出　　处：《临床放射学杂志》2010年第10期1389-1392,共4页Journal of Clinical Radiology

摘　　要：目的观察子宫输卵管造影(hysterosalpingography,HSG)中双腔球囊导管对显影以及诊断的影响,并分析预防措施。资料与方法搜集2008年1月至2009年7月间因不孕于本院行HSG检查的患者1456例(共2901支输卵管),均使用双腔球囊导管。按导管影响点不同,将导管影响显影分为三组:宫颈管组(A),宫腔组(B)和输卵管组(C)。检查中出现导管影响显影,立即调整导管,继续注射对比剂观察并记录结果。统计不同类型出现情况及处理后变化,比较C组输卵管阻塞比率与无导管阻塞病例、C组导管成功调整后导管侧输卵管与对侧输卵管阻塞比率、位置的差别。结果 1456例中,插管困难导管未达宫腔者91例,2901支输卵管中不通者816支(28.13%)。A、B、C3组分别出现3、14和88例,经相应处理各有3、11和58例明显变化。C组导管调整成功84例,其中30.95%输卵管不通,略高于无导管阻塞组的28.04%(χ2=0.341,P=0.559);C组导管侧输卵管的近侧阻塞12例,明显高于对侧4例(χ2=4.421,P=0.035)。结论采用双腔球囊导管行HSG检查中,特别是在子宫发育畸形、宫腔小的情况下,应注意导管因素导致误诊。Objective To determine the effect of balloon catheter on diagnosis in hysterosalpingography （HSG） and preventing methods. Materials and Methods From 2008-1-1 to 2009-7-1,all the women undergoing HSG for infertility were observed.The problem resulted by balloon catheter were divided into three groups：cervical canals group （A）,uterine cavity group （B）,and fallopian tube group （C）. According to the type of problem,the location and depth of the catheter were adjusted,then the exam continued and the results were recorded.The data was analyzed by SPSS 13.0.The incidence of tubal obstruction was evaluated for balloon catheter （χ2 test）. Results There were 1456 consecutive HSG cases and 816 （28.13%） of the 2901 tubes were obstructed. In 91 cases,the catheter were not be correctly inserted.There were 3,14 and 88 cases in the three groups respectively and 3,11 and 58 cases were improved after adjustment.In group C,84 cases were adjusted successfully,26 cases（30.95%） showed tubal obstruction.The rate of tubal obstruction in group C was higher than the others （χ2=0.341,P= 0.559）.The obstructed fallopian tubes （26 cases） of catheter side were more than the opposite （16 cases）,but there was not significant differences（χ2=3.175,P=0.075）.The rate of proximal tubal obstruction （12 cases） of the catheter side was higher than the opposite side （4 cases）（χ2=4.421,P= 0.035）. Conclusion When we use balloon catheter for hysterosalpingography or hydrotubation test,the factors leading to misdiagnosis should be noted,especially in the cases with uterine abnormalities.

关 键 词：子宫输卵管造影 不孕 球囊导管 误诊 

分 类 号：R711.6[医药卫生—妇产科学]